Mass General Brigham Incorporated.
Behavioral Health Specialist
Mass General Brigham Incorporated., Somerville, Massachusetts, us, 02145
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Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not‑for‑profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high‑performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
The Coordinated Whole HealthCare Duals Team is hiring two Behavioral Health Specialists to join MGB Health Plan.
Benefits This position requires an active license as either an Independent Clinical Social Worker (LICSW) and a hybrid work model, including practice‑based, remote work and enrollee in‑person home and community visits when needed.
Licensing Licensed Independent Clinical Social Worker (LICSW) [MA State License] required Mental Health Counselor (LMHC) [MA State License] preferred
Job Summary Mass General Brigham Health Plan is hiring for two Behavioral Health Specialists to work as part of an interdisciplinary care team providing expert recommendations for managing behavioral health conditions and providing specialized coordination of care for enrollees with Severe Mental Illness (SMI) and Substance Use Disorders (SUD).
Essential Functions
Collaborate with interdisciplinary care teams (ICT)—including LTSC, GSSC, primary care providers, specialists, and behavioral health treatment facilities—to support program enhancements, process improvements, care coordination, discharge planning, and aftercare.
Participate actively in ICT meetings, contributing insights on behavioral health concerns, treatment options, care strategies, and engaging in collaborative decision‑making regarding enrollees’ care.
Receive and triage behavioral health and substance use referrals, coordinating with the ICT and primary care providers to refer enrollees to appropriate inpatient or outpatient services.
Develop, update, and implement enrollee‑centered care plans in collaboration with enrollees and care teams, promoting self‑care, shared decision‑making, and addressing identified needs through routine engagement and proactive outreach.
Conduct outreach, assessments, and home visits via telephonic, electronic, or in‑person contact for identified enrollees, including routine evaluations and post‑transition care.
Monitor clinical status to identify early signs of deterioration, intervening proactively with the ICT to prevent unnecessary hospitalizations and escalating behavioral health needs during weekly case conferences.
Establish consistent communication and reporting schedules with providers and enrollees to review enrollee status, progress toward goals, care needs, utilization plans, and follow‑up.
Ensure compliance with DSNP regulations and quality assurance standards by documenting, monitoring, and evaluating enrollee interventions and care plans accurately within electronic medical record systems.
Serve as a key resource and liaison within the ICT by addressing enrollee questions, concerns, and care needs, facilitating access to services, and performing additional duties as assigned by the supervisor.
Qualifications
Master's Degree, Field of Study: Licensed Independent Clinical Social Worker (LICSW) required
Certified Case Management Certification preferred
Previous counseling experience 5‑7 years required
Minimum 3 years of direct clinical experience required
Experience with community case management preferred
Experience with Dually Eligible Enrollees (Medicare and Medicaid) preferred
NCQA experience preferred
Skills for Success
Competency in working with multiple health care computer platforms, EPIC experience a plus
Experience working with individuals with complex medical, behavioral, and social needs
Strong communication and interpersonal skills to effectively engage with enrollees and interdisciplinary teams
Critical thinking and problem‑solving skills, demonstrating autonomy in decision‑making
Strong organizational skills with an ability to manage routine work, triage, and reset priorities as needed
Interpersonal skills and ability to work effectively with providers and their staff to develop rapport, build trust, and promote population health initiatives; excellent oral, written, and telephonic skills and abilities
Competency in working with multiple health care computer platforms
Ability to work effectively in a complex fast‑paced medical environment and multiple practice locations
Ability to work independently while contributing to a collaborative team environment
Knowledge of healthcare and community services to assist enrollees effectively
Comfortable with change, adaptable, and willing to pivot as part of continuous process improvement activities
Working Model Required
M‑F Eastern Business Hours required 8:30 a.m. – 5 p.m. ET
Onsite practice‑based, remote work and enrollee in‑person home and community visits
Weekly multiple days in field needed, will vary
Reliable transportation and valid driver’s license required
Must be local, ideally in Eastern MA; capable of building own schedule to accommodate member needs
Must be flexible for training, field work, and business needs; week‑to‑week in‑person, telephonic or virtual assessments possible
Field work may increase as program launches
Remote working days require stable, quiet, secure, compliant workstation with MGB‑provided equipment and Teams video access
Additional Job Details Our goal will be to geographically align employees; this depends on residence and can vary based on business needs, member enrollment and team staffing. Employee must accommodate the hybrid work model, including practice‑based, remote work and enrollee in‑person home and community visits.
Remote Type Hybrid
Work Location 399 Revolution Drive
Scheduled Weekly Hours 40
Employee Type Regular
Work Shift Day (United States of America)
Pay Range $97,510.40 – $141,804.00/Annual
EEO Statement Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Seniority level Mid‑Senior level
Employment type Full‑time
Job function Health Care Provider
Industries Hospitals and Health Care
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Get AI‑powered advice on this job and more exclusive features.
Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not‑for‑profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high‑performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
The Coordinated Whole HealthCare Duals Team is hiring two Behavioral Health Specialists to join MGB Health Plan.
Benefits This position requires an active license as either an Independent Clinical Social Worker (LICSW) and a hybrid work model, including practice‑based, remote work and enrollee in‑person home and community visits when needed.
Licensing Licensed Independent Clinical Social Worker (LICSW) [MA State License] required Mental Health Counselor (LMHC) [MA State License] preferred
Job Summary Mass General Brigham Health Plan is hiring for two Behavioral Health Specialists to work as part of an interdisciplinary care team providing expert recommendations for managing behavioral health conditions and providing specialized coordination of care for enrollees with Severe Mental Illness (SMI) and Substance Use Disorders (SUD).
Essential Functions
Collaborate with interdisciplinary care teams (ICT)—including LTSC, GSSC, primary care providers, specialists, and behavioral health treatment facilities—to support program enhancements, process improvements, care coordination, discharge planning, and aftercare.
Participate actively in ICT meetings, contributing insights on behavioral health concerns, treatment options, care strategies, and engaging in collaborative decision‑making regarding enrollees’ care.
Receive and triage behavioral health and substance use referrals, coordinating with the ICT and primary care providers to refer enrollees to appropriate inpatient or outpatient services.
Develop, update, and implement enrollee‑centered care plans in collaboration with enrollees and care teams, promoting self‑care, shared decision‑making, and addressing identified needs through routine engagement and proactive outreach.
Conduct outreach, assessments, and home visits via telephonic, electronic, or in‑person contact for identified enrollees, including routine evaluations and post‑transition care.
Monitor clinical status to identify early signs of deterioration, intervening proactively with the ICT to prevent unnecessary hospitalizations and escalating behavioral health needs during weekly case conferences.
Establish consistent communication and reporting schedules with providers and enrollees to review enrollee status, progress toward goals, care needs, utilization plans, and follow‑up.
Ensure compliance with DSNP regulations and quality assurance standards by documenting, monitoring, and evaluating enrollee interventions and care plans accurately within electronic medical record systems.
Serve as a key resource and liaison within the ICT by addressing enrollee questions, concerns, and care needs, facilitating access to services, and performing additional duties as assigned by the supervisor.
Qualifications
Master's Degree, Field of Study: Licensed Independent Clinical Social Worker (LICSW) required
Certified Case Management Certification preferred
Previous counseling experience 5‑7 years required
Minimum 3 years of direct clinical experience required
Experience with community case management preferred
Experience with Dually Eligible Enrollees (Medicare and Medicaid) preferred
NCQA experience preferred
Skills for Success
Competency in working with multiple health care computer platforms, EPIC experience a plus
Experience working with individuals with complex medical, behavioral, and social needs
Strong communication and interpersonal skills to effectively engage with enrollees and interdisciplinary teams
Critical thinking and problem‑solving skills, demonstrating autonomy in decision‑making
Strong organizational skills with an ability to manage routine work, triage, and reset priorities as needed
Interpersonal skills and ability to work effectively with providers and their staff to develop rapport, build trust, and promote population health initiatives; excellent oral, written, and telephonic skills and abilities
Competency in working with multiple health care computer platforms
Ability to work effectively in a complex fast‑paced medical environment and multiple practice locations
Ability to work independently while contributing to a collaborative team environment
Knowledge of healthcare and community services to assist enrollees effectively
Comfortable with change, adaptable, and willing to pivot as part of continuous process improvement activities
Working Model Required
M‑F Eastern Business Hours required 8:30 a.m. – 5 p.m. ET
Onsite practice‑based, remote work and enrollee in‑person home and community visits
Weekly multiple days in field needed, will vary
Reliable transportation and valid driver’s license required
Must be local, ideally in Eastern MA; capable of building own schedule to accommodate member needs
Must be flexible for training, field work, and business needs; week‑to‑week in‑person, telephonic or virtual assessments possible
Field work may increase as program launches
Remote working days require stable, quiet, secure, compliant workstation with MGB‑provided equipment and Teams video access
Additional Job Details Our goal will be to geographically align employees; this depends on residence and can vary based on business needs, member enrollment and team staffing. Employee must accommodate the hybrid work model, including practice‑based, remote work and enrollee in‑person home and community visits.
Remote Type Hybrid
Work Location 399 Revolution Drive
Scheduled Weekly Hours 40
Employee Type Regular
Work Shift Day (United States of America)
Pay Range $97,510.40 – $141,804.00/Annual
EEO Statement Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Seniority level Mid‑Senior level
Employment type Full‑time
Job function Health Care Provider
Industries Hospitals and Health Care
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